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Cot safety

Cot-Safety & Tip over Prevention

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Cot safety

  1. 1. Cot Safety & Tip Over Prevention
  2. 2. Causes and Factors  The cot not being lowered to a safe rolling height per the manufacturer’s recommendation.  EMT’s not grasping the cot with both hands while in motion.  Insufficient number of EMT’s to safely transport heavier patients and/or additional equipment.  Cot wheels catching on cracks or gradient changes in the pavement.
  3. 3. Cot Height  Select lower or mid-range cot elevated positions when moving patients.  Select the lowest practical position of cot elevation when moving a heavy patient.  Select the lowest practical position of cot elevation when it is essential and unavoidable that EMT’s carry equipment on the cot on which they are moving a patient.  Transport the patient in the lowest comfortable position to maneuver the cot.
  4. 4. Transporting a Patient  Use required cot restraint straps to provide both transverse and longitudinal patient protection.  Straps are required at patients knees, hips, chest, and over shoulders (shoulder straps must be tethered together at cot frame).  Never leave a patient unattended on the cot. Hold the cot securely while a patient is on the product.  Only use the wheel locks during patient transfer or without a patient on the cot.  Be careful when using newer model cots.  These cots roll easier and faster than older models.
  5. 5. Trained Operators  Use a minimum of two trained operators to operate the cot while a patient is on the cot.  Both EMT’s keeping both hands on the cot frame, handle and straps supplied to assist with moving the cot at all times when moving the patient.  Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators.  Do not ride on the base of the cot.
  6. 6. Tip-over Prevention  Being alert to pavement and terrain condition hazards at all times when moving a patient.  Transporting the cot sideways can cause the cot to tip, resulting in possible damage to the product and/or injury to the patient or operator  Transporting the cot in a lowered position, head to foot first, minimizes the potential of a cot tip.  Inform management at the facility where there is an issue in commonly traveled areas of pavement that pose an inherent hazard to wheeled cots.
  7. 7. Proper lifting techniques Keep your hands close to your body. Keep your back straight. Coordinate your movements with your partner and lift with your legs. Avoid twisting.
  8. 8. Reporting of Incidents  U.S. Food and Drug Administration  “Medical Devices Report”   DPH/OEMS  “Serious Incident and Accident Reports” 